Form DB-820.1 Supplement to Certificate of Insurance - New York

Form DB-820.1 Supplement to Certificate of Insurance - New York

What Is Form DB-820.1?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DB-820.1?
A: Form DB-820.1 is a supplement to the Certificate of Insurance in New York.

Q: When is Form DB-820.1 used?
A: Form DB-820.1 is used as a supplement to the Certificate of Insurance in New York.

Q: What is the purpose of Form DB-820.1?
A: The purpose of Form DB-820.1 is to provide additional information and coverage details regarding the insurance policy.

Q: Do I need to submit Form DB-820.1?
A: It depends on your specific insurance requirements. Your insurance provider or agent will inform you if Form DB-820.1 needs to be submitted.

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Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DB-820.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form DB-820.1 Supplement to Certificate of Insurance - New York

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  • Form DB-820.1 Supplement to Certificate of Insurance - New York, Page 1
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